THERESA FUENTES NIELSEN (Credential# 1369804) is licensed (Advanced Practice Registered Nurse) with Connecticut Department of Consumer Protection. The license effective date is August 25, 2016. The license expiration date date is July 31, 2017. The license status is INACTIVE.
THERESA FUENTES NIELSEN is licensed with the Department of Consumer Protection of Connecticut. The credential number is #12.006696. The credential type is advanced practice registered nurse. The effective date is August 25, 2016. The expiration date is July 31, 2017. The business address is 209 Hazeltine Drive, Lakeway, TX 78734. The current status is inactive.
| Licensee Name | THERESA FUENTES NIELSEN |
| Credential ID | 1369804 |
| Credential Number | 12.006696 |
| Credential Type | Advanced Practice Registered Nurse |
| Business Address |
209 Hazeltine Drive Lakeway TX 78734 |
| Business Type | INDIVIDUAL |
| Status | INACTIVE - LAPSED DUE TO NON-RENEWAL |
| Issue Date | 2016-08-25 |
| Effective Date | 2016-08-25 |
| Expiration Date | 2017-07-31 |
| Refresh Date | 2017-11-03 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 1369803 | 10.136355 | Registered Nurse | 2016-08-16 | 2016-08-16 - 2017-07-31 | INACTIVE |
| 1375797 | CSP.0063909 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2016-08-27 | 2016-08-27 - 2017-02-28 | INACTIVE |
| 1372295 | 10.136281-TEMP | Registered Nurse - Temporary | 2016-08-12 | 2016-08-12 - 2016-12-09 | INACTIVE |
| Street Address | 209 Hazeltine Drive |
| City | Lakeway |
| State | TX |
| Zip Code | 78734 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Adair De Berry-carlisle | 5901 Laguna Cliff Lane, Austin, TX 78734 | Physician/surgeon | 2020-04-01 ~ 2021-03-31 |
| Sam E Patton | 2303 Ranch Rd 620 So Ste 160-301, Austin, TX 78734 | Professional Engineer | 2020-02-01 ~ 2021-01-31 |
| Susan Klinkow · Patterson | 712 Sunfish, Lakeway, TX 78734 | Registered Nurse | 2012-08-01 ~ 2013-07-31 |
| Gabriel A Bruehl | 103 Edgewater Cv, Lakeway, TX 78734 | Professional Engineer | 2007-05-01 ~ 2008-01-31 |
| Amber Rothwell | 15216 Nightingale Ln, Austin, TX 78734-4758 | Landscape Architect | ~ |
| John J. D'amato | 405 Rolling Green Dr, Lakeway, TX 78734-5220 | Certified Public Accountant License | 2018-01-01 ~ 2018-12-31 |
| Christine A Gmeiner | 2303 Rr 620 S # 135-343, Lakeway, TX 78734-6219 | Registered Nurse | 2017-05-01 ~ 2018-04-30 |
| City | Lakeway |
| Zip Code | 78734 |
| License Type | Advanced Practice Registered Nurse |
| License Type + County | Advanced Practice Registered Nurse + Lakeway |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Theresa M Salerno | 31 River Rd Ste 100, Cos Cob, CT 06807-2152 | Advanced Practice Registered Nurse | 2013-03-22 ~ 2014-02-28 |
| Theresa A Burdick | 19 Ailish Ln, Brewster, NY 10509-2164 | Advanced Practice Registered Nurse | 2019-07-01 ~ 2020-06-30 |
| Theresa Rose Bly | 178 9th St E Ste 300, Saint Paul, MN 55101-2577 | Advanced Practice Registered Nurse | 2019-07-01 ~ 2020-07-31 |
| Theresa A Cutillo-schmitter Aprn | 2 Wintergreen Ct, Woodbury, CT 06798-3218 | Advanced Practice Registered Nurse | 2017-09-01 ~ 2018-08-31 |
| Kim E Cotnoir | Po Box 656, Johnson, VT 05656-0656 | Advanced Practice Registered Nurse | 2020-08-01 ~ 2021-07-31 |
| Alice Bauman | P O Box 246, Ashby, MA 01431-0246 | Advanced Practice Registered Nurse | 2000-08-24 ~ 2001-09-30 |
| Gary L Roy | 132 Adams St, New Britain, CT 06052 | Advanced Practice Registered Nurse | 2009-07-03 ~ 2010-07-31 |
| Barbara J Voskowsky | Po Box 431, Granby, CT 06035-0431 | Advanced Practice Registered Nurse | 2011-08-01 ~ 2012-07-31 |
| Joanna Mrozek | 270 Oak St, Manchester, CT 06040-5563 | Advanced Practice Registered Nurse | 2020-05-01 ~ 2021-04-30 |
| Terry L Conrad | 40 E Putnam Ave, Cos Cob, CT 06807-2600 | Advanced Practice Registered Nurse | 2020-06-01 ~ 2021-05-31 |
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| Data Provider | Connecticut Department of Consumer Protection |
| Jurisdiction | Connecticut |
| Related Datasets | Connecticut Business Registrations, Connecticut Child Care Facilities |
This dataset includes 1.41 million licenses issued wtih Connecticut Department of Consumer Protection (TDLR).